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ON-CAMPUS TIME – FULL TIME FACULTY
SUMMER 2012
Teacher Name_______________________________
Office #________________________________
(Please Print)
Phone Ext.#_____________________________
Beginning Date______________________________
End Date_______________________________
Time
7:00-8:00
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
8:00-9:00
9:00-10:00
10:00-11:00
11:00-12:00
12:00-1:00
1:00-2:00
2:00-3:00
3:00-4:00
4:00-5:00
5:00-6:00
6:00-7:00
7:00-8:00
8:00-9:00
9:00-10:00
TOTAL HRS
_____________________________ ___________ ____________________________ ____________
Teacher Signature
Date
Supervisor Signature
Date
PLEASE READ AND FOLLOW THE INSTRUCTIONS BELOW WHEN COMPLETING
THIS FORM.
1.
Indicate your course numbers and classrooms in the appropriate space, i.e., Subject, Course
Number, and Section Number (Example: OFTECH-194-200 for Office Technology 106).
2.
Write in “office” for your office hours. (No more than two office hours may be scheduled in one
day.)
3.
Mark “X” for your prep time.
4.
Write lunch in the appropriate spaces. If you are not scheduling a lunch period, write No Lunch
within that day’s column.
5.
Please total each day. If the start and/or end time does not start on the hour, write the exact start and
stop time in the appropriate spaces and connect them with a straight line. The totals, without lunch,
will be 32 hours.
Complete this form to reflect Office # and Phone Ext. and forward it to your supervisor as soon as possible.
The supervisor will review it, retain a copy, return a copy to you, and forward a copy to Payroll. Payroll
should receive this form by: June 15, 2012.